Caribbean Disaster
Mitigation Project |
Name of Estimator: __________________________________ | Name of Owner: _________________________________ |
Address:
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Occupant: _________________________________________ | |
Owner authorizing retrofitting? Yes / No | If yes, owner's signature: _________________________________ |
Type of contruction: Timber / Concrete / Other: _____________ | |
Shape of Building (attach sketch with dimensions) | |
Size of building: | Length: _______________________ Width: ________________________ Total Area: _____________________ |
Shape of Roof: | Gable / Hip / Mono Pitch / Other (describe): ________________ |
Type of Roof Covering | Galvanized / Shingles / Other (describe): ________________ |
Conditions of Roof Covering | Good / Poor / Very Poor |
General Conditions of Building | Good / Poor / Very Poor |
Roof Retrofit? Yes / No
Description |
Size |
Length |
Quantity |
Unit Price |
Total Price |
Fascia Board | |||||
Galvanized Sheets | |||||
Galvanized Nails | |||||
Rafters: Purlins / Laths | |||||
Roof Plate | |||||
Ridge Pole | |||||
Hurricane Ties | |||||
Anchor Bolts |
TYPE OF FOUNDATION:
CONCRETE PILLARS ______________________________
TIMBER PILLARS ________________________________
LOOSE BLOCKS OR STONES _______________________
CONTINUOUS CONCRETE _________________________
WITH FLOOR SLAB _______________________________
OTHER: DESCRIBE _______________________________
18.RETROFIT FOUNDATION? YES / NO
HEIGHT OF FLOOR ABOVE GROUND ___________ FEET.
Description | Size | Length | Quantity | Unit Price | Total Price |
Excavation | |||||
Concrete Blocks | |||||
Cement Bags | |||||
Sand (cubic yards) | |||||
Aggregate (cubic yards) | |||||
Reinforcement Steel | |||||
Binding Wire | |||||
Anchor Bolts |
RETROFIT FLOOR? YES / NO
Description | Size | Length | Quantity | Unit Price | Total Price |
Floor Steel | |||||
Boards | |||||
Nails |
RETROFIT WALLS? YES / NO
Description | Size | Length | Quantity | Unit Price | Total Price |
Studs | |||||
Siding | |||||
Nails |
ANY OTHER MATERIALS NEEDED FOR RETROFITTING? YES / NO
EXPLAIN AND LIST QUANTITY: _________________________________________________________________________________
ESTIMATORS SIGNATURE ______________________________________________________ DATE: _____________________
Do not write beyond this line
FOR OFFICIAL USE ONLY
COMMENTS REVIEW COMMITTEE:
AMOUNT RECOMMENDED: ______________________________________
CHECKED BY: ___________________ DATE: ___________________
APPROVED BY __________________ DATE: ___________________
CDMP home page: http://www.oas.org/en/cdmp/ | Project Contacts | Page Last Updated: 20 April 2001 |